What We Do
Simultaneously Making the Most of Claims, Protecting you Downstream from Future Liability
Our consulting services focus on our clients' most critical issues and opportunities.
We work on strategy, marketing and technology across all industries and geographies. We bring deep, functional expertise, but are known for our fun approach to work. We love what we do and we love bringing our success to our clients.
Conditional Payment Search
Conditional Payment Searches includes a formal investigation of conditional payments made by Medicare that may result in a Medicare Lien.
Medicare Set-Aside Agreement (Workers' Compensation & Third Party)
Planpoint consulting services focus on clients' most critical issues while also keeping in mind Medicare's interest, culminating in a well above-market approval percentage, and remarkable customer satisfaction.
This report is designed to mitigate total investment into the Medicare program upon settlement, providing the client a greater return for his/her claim, while still protecting Medicare's interest to the fullest extent and limiting future liability for all parties.
All Medicare Set Aside Allocations are prepared by Registered Nurses who are experienced professionals also certified as Life Care Planners and Medicare Set-Aside Certified Consultants.
Life Care Planning
Planpoint services retains over twenty years of Life Care Planning experience in conjunction with tools and services to explore and identify future medical needs for catastrophic and/or complex injuries.
Life Care Plans can be used to determine ultimate claim value for settlement. Additionally, Life Care Plans can be introduced in court for litigated cases.
All Life Care Plans are prepared by Registered Nurses who are experienced professionals and certified as Life Care Planners.
Medical Cost Projections (For Reserving Purposes)
As a detail-oriented and personal service, Planpoint retains analytical and forefront industry standard resources allowing for a compentant and all-inclusive report that encapsulates all aspects of the claim.
Typically, a Medical Cost Projection is retained for the purposes of identifying the most recent medical needs & costs as well as compiling and estimating an overall value relative to the current and future recommended treatment.
Medical Cost Projections are utilized to assess appropriate medical care costs. This may be used to determine ultimate claim value for settlement of non-litigated cases or for the purposes of reserving.
Medicare Entitlement Investigation
Medicare Entitlement Verification includes a full query and subsequent aquisition of information directly from the Centers for Medicare and Medicaid Services that are in relation to any claim that can assist in determining eligibility for Medicare benefits.
Legal Nurse Review
Legal Nurse Reviews are utilized in a variety of ways to assist in assessment of medical legal issues including identification via medical record review of causation, diagnosis and probable outcomes. A Legal Nurse Review can also research standards of care and conduct research and comparison of medical literature.
All Legal Nurse Reviews are prepared by Registered Nurses professionals holding the Legal Nurse Consultant Certified credential. A Medical Cost Projection can be added to identify the need and cost of future medical treatment over the claimants lifetime.
Educational Courses, CLE Credit, In-House Seminars
PlanPoint is available for private speaking engagements that can include small offices from 5-10 peers to larger seminars that can accommodate 10-100 participants. PlanPoint now offers Continuing Legal Education at no cost via webcast and/or on-site course equivalent to a total of 7.2 credits in General Education, Civil Trial, and Workers' Compensation. Inquire via email or telephone to learn more about scheduling a course.
Conditional Payment Dispute
Disputing conditional payments includes a thorough and comprehensive review of Medicare conditional payments and identification of any relationship to the covered illness or injury.
Conditional payments made by Medicare deemed unrelated can be formally disputed at a client's request in writing to the Centers for Medicare and Medicaid Services, a service that PlanPoint has been extremely successful with in the past.
PlanPoint is available for private webinars that can suit any number of participants at your discretion. Discussion topics can include any aspect of Medicare submission, the role of the Medicare Set-Aside in the settlement process, and many other highly intricate special services offered by PlanPoint. PlanPoint now offers Continuing Legal Education at no cost via webcast and/or on-site course equivalent to a total of 7.2 credits in General Education, Civil Trial, and Workers' Compensation. Inquire via email or telephone to learn more about scheduling a course.
PlanPoint offers extensive expertise with Lien Disputes. With access to exlusive software allowing cross referencing and analyzation, clients have long been benefitting from services through PlanPoint recognizing a cost savings with each execution.
Medicare Set-Aside Submissions
Our consulting services focus on our clients' most critical issues and opportunities. Medicare Set-Aside Arrangement Submissions are forwarded to the Centers for Medicare and Medicaid Services (CMS) for review and approval. This includes comprehensive follow up from the date of submission through receipt of CMS approval. Submission of all Workers' Compensation Medicare Set-Aside reports is mandatory as stipulated by CMS. Provision of a Liability Medicare Set-Aside report is strongly recommended with all third party settlements.